| NPI | 1104919000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA LYNNE MUNGUIA Medical Biller 419-254-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-12-07 |